Mail / Fax order form for

Yoga Teacher Training courses

Print out this order form and fax or mail it to:

www.yoga-teacher-training.org PLEASE PRINT

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AURA, Inc.
21 Park Street, Suite 202 Attleboro, MA 02703
Phone: (508) 222-0092
Fax: (401) 633-6081

1.) Is this a gift? (please circle)       NO       YES  (Name of person gift is for): _________________________

2.) Shipping Address

Name: ______________________________

Country: _________________________

Street Address: _________________________

Apt # _____ City: _______________________

State/Province: _______________ Zip: _______

3.) Billing Address ( □ Check if same as shipping address)

Name: _______________________________

Country: _________________________

Street Address: _________________________

Apt # _____ City: _______________________

State/Province: _______________ Zip: _______

4.) Kit Type

□ Introduction to Yoga Course ($197)
□ C.I.A.B ($497)
□ S&D ($397)
□ MPO ( 1 , 2 , 3 ) ($170 per module)
□ Level II ($997)
□ Anatomy Course ($177)
□ Kids Kit ($427)
□ Restorative Kit ($597)

 

□ Chair Yoga ($498)
□ Yoga Business Pack ($197)
□ Meditation Course ($127)
□ Success Kit ($227)
□ C.I.A.B for 2 ($797) - (Please provide both names):
        (1) _________________________
        (2) _________________________
□ Other: _________________________

Price _________________ Shipping ________________ Total _____________

All Shipping Must be Calculated by an Aura Staff Member

5.) Credit Card:

VISA     MasterCard     Discover

Card # :     __ __ __ __     __ __ __ __     __ __ __ __     __ __ __ __

Name on Credit Card : ______________________________________________

Expiration Date: __ __  /  __ __ __ __     CVV / CIN # : __ __ __ __ (3 or 4 digits on back of card)